摘要
目的 在文献梳理的基础上,运用CiteSpace对医患共同决策领域的年发文量、高产研究机构及研究热点进行分析,预测该领域未来的研究重点及发展方向。方法 利用中国知网和Web of Science核心合集数据库进行高级检索,检索时间限定为2004—2024年。利用CiteSpace进行科学知识图谱分析。结果 2004—2024年,国内外医患共同决策研究发文量均呈现增长趋势。国内的医患共同决策研究主要集中在护理、肿瘤等领域,国外则更关注患者参与、风险沟通和决策辅助工具的应用。国内的研究机构以护理学院和附属医院的部分科室为主,国外则集中在北美地区。关键词分析显示,国内医患共同决策研究的热点从决策树等技术性主题,逐渐转向患者参与和决策辅助工具的实际应用;国外的研究更早进入共享决策和人工智能支持的决策工具领域。结论 国内外医患共同决策的研究热点从理论探索逐步转向临床实践和技术应用。未来,随着人工智能和大数据技术的深入应用,国内医患共同决策研究可能将更多集中于优化决策辅助系统和提升患者参与度。推动医患共同决策的本土化实践、多学科合作以及政策支持是未来研究的重要方向。
Objective:To analyze the annual publication volume,prolific research institutions,and research hotspots in the field of shared decision-making(SDM)by utilizing CiteSpace software based on a literature review,predicting the future research focus and development direction in this area.Methods:An advanced search was conducted in the China National Knowledge Infrastructure(CNKI)and the Web of Science Core Collection databases,with the search timeframe limited to 2004—2024.Scientific knowledge mapping analysis was performed using CiteSpace software.Results:From 2004 to 2024,the volume of publications on SDM research has shown an increasing trend both domestically and internationally.In China,SDM research was mainly focused on nursing,oncology,and other fields,whereas internationally,the emphasis was on patient participation,risk communication,and the application of decision-making support tools.In China,research institutions were primarily nursing schools and specific departments in affiliated hospitals,while internationally,SDM research was concentrated in North America.Keyword analysis showed that the research hotspots in China have gradually shifted from technical topics such as decision-making trees to the practical application of patient participation and decision-making support tools,while international research has earlier moved into the areas of SDM and artificial intelligence-supported decision-making tools.Conclusion:The research hotspots of SDM,both domestically and internationally,have gradually shifted from theoretical exploration to clinical practice and technological applications.In the future,with the deeper integration of artificial intelligence and big data technologies,SDM research in China will focus more on optimizing decision-making support systems and enhancing patient participation.Promoting the localization of SDM practices,fostering multidisciplinary collaboration,and strengthening policy support will be key directions for future research.
作者
栗洁歆
郭莉萍
LI Jiexin;GUO Liping(School of Health Humanities,Peking University,Beijing 100191,China)
出处
《中国医学伦理学》
北大核心
2025年第5期543-552,共10页
Chinese Medical Ethics
关键词
医患共同决策
叙事医学
医患沟通
shared decision-making
narrative medicine
doctor-patient communication
作者简介
栗洁歆,女,研究方向:翻译、语言服务、叙事医学;通信作者:郭莉萍,女,研究方向:叙事医学、医学人文教育。
